Archives

Terms and Conditions

All content expressed in the “Discuss” section of the National Academy of Social Insurance (NASI) website are those of the author or authors and do not reflect the opinion of Academy staff or Board of Directors. The Academy reserves the right to edit or delete any comments deemed offensive or disrespectful.

Social Security: Americans Agree VIDEO

Social Security: Just the Facts Video

COVERED: a week-by-week look at the political and legislative developments that led to the creation of Medicare and Medicaid 50 years ago. Bob Rosenblatt, Academy senior fellow and former Los Angeles Times Washington correspondent will report on the people and the maneuvers that led to this major expansion of social insurance.

Medicare and Health Policy

The political air is charged these days with claims that various policy ideas, like Medicare-For-All and the Green New Deal, are “socialistic.” Such charges have been made in American history since the late 19th century, often in response to bold new policy concepts put forward to address gaps in income and health care security. This leads us to revisit a fundamental question – what differentiates Socialism from Social Insurance?

Social Insurance as Collective Action

In the words of Robert M. Ball, Founding Chair of our Academy: “Social insurance derives its unique strength from the principle that the best form of self-protection is mutual aid on a universal scale; when everyone contributes, everyone can be protected.” Academy Member and historian Edward D. Berkowitz also quotes Bob Ball:

Renée M. Landers, Professor of Law, Suffolk University Law School and Faculty Director, Health and Biomedical Law Concentration

“The first wealth is health.”

Ralph Waldo Emerson offered this observation in The Conduct of Life published in 1860, and the statement remains centrally true to the human condition today. The simple sentence belies the range of factors that have an impact on the health of individuals and populations, including the social insurance and other public policies that affect the ability to maintain health insurance and to obtain access to necessary health care services on a consistent basis throughout the lifespan. Good health is essential to the ability of people to participate effectively in education, productive work, recreation, and civic and community life. The current political and economic environment presents several threats as well as opportunities for ensuring access to health care across the generations.

For all of us who are dedicated to the Academy’s mission – “increasing public understanding of how social insurance contributes to economic security” – 2019 has the makings of a challenging year.

One of the top challenges facing us as we begin a new year is to develop and refine a common language that connects with the public at large. When distraction, detraction, and discord seem so prevalent in the nation’s political discourse, we need new ways to refocus the conversation on unifying issues that matter most to many. When it comes to providing greater economic security and reducing inequality in our nation, we need to reframe how we discuss social insurance, so that its enduring value as shared protection will be communicated more effectively.

If we were to measure the American people’s current understanding of social insurance, what might we find?